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NCVEC Form 605

Amateur Radio License Application Form

Applicants must complete this form for ARRL VEC to submit the request to the FCC. A red asterisk indicates a required field. You must complete these fields.
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NCVEC 605 FORM APPLICATION TO ARRL VEC

FCC Registration Number (FRN). Do NOT enter your SSN. If you cannot find your FRN, leave this box blank and we will locate it for you.

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FCC BASIC QUALIFICATION QUESTION (FELONY QUESTION):
HAS THE APPLICANT EVER BEEN CONVICTED OF A FELONY BY ANY STATE OR FEDERAL COURT?

Felony Conviction Answer *

Answer required by the FCC in order to process your application.

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PLEASE CHECK ALL APPLICABLE BOXES BELOW.

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I CERTIFY THAT:
• I waive any claim to the use of any particular frequency regardless of prior use by license or otherwise; • All statements and attachments are true, complete, and correct to the best of my knowledge and belief and are made in good faith;
• All statements and attachments are true, complete, and correct to the best of my knowledge and belief and are made in good faith;
• I am not a representative of a foreign government;
• I am not subject to a denial of Federal benefits pursuant to Section 5301of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862;
• The construction of my station will NOT be an action which is likely to have a significant environmental effect [See 47 CFR Sections 1.1301-1.1319 and Section 97.13(a)];
• I have read and WILL COMPLY with Section 97.13(c) of the Commission’s Rules regarding RADIOFREQUENCY (RF) RADIATION SAFETY and the amateur service section of OST/OET Bulletin Number 65.
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SIGNATURE INFORMATION:
By typing your full name in the box below, you certify that you have read the above paragraph and agree to these terms.
By typing your name, you are signing this form electronically. Understand that your electronic signature is legally binding, as if you had physically signed the document by hand.

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Please Submit My Application To Staff Member: *

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